OrganizationActive
412th Medgrp-Edwards
NPI 1548673163 · Military/U.S. Coast Guard Pharmacy · Edwards Afb, CA
412th Medgrp-Edwards is a Military/U.S. Coast Guard Pharmacy organization in Edwards Afb, CA (NPI 1548673163).
Provider details
- NPI number
- 1548673163
- Entity type
- Organization
- Primary specialty
- Military/U.S. Coast Guard PharmacySuppliers
- Parent organization
- 412th Medgrp-Edwards
- Organization subpart
- Yes
- Authorized official
- Hector Morales, Chief Dha Pass(210) 536-6650
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
30 Nightingale Rd
Bldg 5525
Edwards Afb, CA 93524-1730
Phone: (661) 277-2052
Fax: (661) 277-8284
Approximate (ZIP-level) locationGet directions
Mailing address
95 Th Medical Group Sgsr
Edwards Afb, CA 93524-0001
Other names (DBA / former)
- Doing business as
- Dod Edwards Pharmacy
Registry dates
- Enumerated
- 2014-06-11
- Last updated
- 2025-06-12
- Certified
- 2025-06-12
Frequently asked questions
- What is 412th Medgrp-Edwards's NPI number?
- 412th Medgrp-Edwards's National Provider Identifier (NPI) is 1548673163, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 412th Medgrp-Edwards?
- 412th Medgrp-Edwards is classified in the NPPES registry as Military/U.S. Coast Guard Pharmacy (Suppliers).
- Where is 412th Medgrp-Edwards located?
- 412th Medgrp-Edwards's practice location on file with NPPES is 30 Nightingale Rd, Edwards Afb, CA 93524-1730.
- What is 412th Medgrp-Edwards's phone number?
- The practice phone number listed in the NPPES registry for 412th Medgrp-Edwards is (661) 277-2052.
- Who is the authorized official for 412th Medgrp-Edwards?
- The authorized official listed on 412th Medgrp-Edwards's NPPES record is Hector Morales, Chief Dha Pass. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 412th Medgrp-Edwards's NPI active?
- Yes — 412th Medgrp-Edwards's NPI (1548673163) is active in the NPPES registry as of the last update on 2025-06-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.